Page 5 - CLINICAL PRACTICE II
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PROCEDURE CHECKLIST 2
NUTRITION: MEASURE AND RECORD OF INTAKE OUTPUT
CHART
NO. PROCEDURE REMARKS
1. Check patients note to assess patient intake requirement
2. Greet patient and introduce self
3. Explain the importance of recording intake and output chart
Fill up patient details on the chart
i. Name
4.
ii. Registered number
iii. Ward and bed number
Label the drink container (mug or glass) to measure all oral
5.
fluids
Prepared measuring jug (to measure urine and vomit) at patient
6.
bedside
Prepare and inform patient the amount of fluid to be taken per
7.
shift
8. Ask / measure every intake and output
Record every intake and output in appropriate column:
9.1. Intake
- Date
9.
- time
- type of drink
- amount
9.2. Output
- Date
- time
- type of output/ characteristic
- amount
10. Total the intake and output every shift
11. Documentation and report
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